MENGELOLA INSTRUMENT

BEDAH / ENDOSKOPI

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 Alur Dekontaminasi Alat Kesehatan
Setelah Pakai
PRE-CLEANING (Pembersihan Awal)
Mengunakan enzymatic + desinfektan

Pembersihan
(Cuci bersih, tiriskan, keringkan)

Sterilisasi Disinfeksi tingkat tinggi Disinfeksi tingkat

(peralatan kritis) (peralatan semi kritikal) rendah

Masuk dalam pembuluh Masuk dalam mucosa (peralatan non kritikal)

darah/jaringan tubuh tubuh Hanya pada permukaan
Instrumen bedah Endotracheal tube, NGT, tubuh yang utuh
Endoskopi Tensi meter (manset),
termometer

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 Tujuan dekontaminasi alat yang
aman
Memutus mata rantai penularan infeksi dari
peralatan medis kepada pasien, petugas
kesehatan, pengunjung dan lingkungan rumah
sakit

Perlakuan dekontaminasi :
• Cleaning
• Disinfection
• Sterilization Budi Waluyo
Recommended Practices for Cleaning Surgical Instruments

AORN Recommended Practices Committee.

Please refer to recommendation n°5.

• Cleaning and decontamination should occur as soon as possible after

instruments and equipment are used. (PNDS:I70)
should occur as soon as possible after instruments and equipment are
used to prevent the formation of biofilm.

Preparation for decontamination of instruments should begin at the point of

use. (PNDS:I70;I98).

• All instruments opened during a surgical procedure are considered

contaminated.
Scrubbed persons may touch instruments without being aware of it. Used
instruments also may come in contact with other instruments.

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Budi Waluyo
ANIOSYME FIRST

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 ANIOSYME FIRST

Kombinasi detergent, triple enzyme dan

desinfektan dipakai sebagai “pre treatment”
guna mencegah keringnya cairan tubuh pada
instrument bedah pasca operasi

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 PERFORMANCE
ANIOSYME FIRST

•Bebas aldehyde and chloride

•Busa spray : menghasilkan partikel aerosol
•Daya bersih detergen yang efektif
•Stabilitas enzymatik terbukti stabil
•Level spektrum antimikroba menengah
•pH netral
•Sifat anti-korosif pada logam

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 KOMPOSISI

Quaternary ammonium propionate, polyhexamethylene

biguanide, non ionic surfactants, tri-enzyme complex (protease,
lipase, amylase), chelating agents, excipients.

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MICROBIOLOGICAL PROPERTIES
Bactericidal, Yeastisidal, aktif pada virus.

Mikroba 5 menit 60 menit 120 menit

Bacteri
80%

Yeast
ANIOSYME 50%
FIRST
HIV-1
80 %
PRV
BVDV 80%

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 KOMBINASI DETERGEN + DESINFEKTAN

Detergents containing aldehydes should not be used for cleaning, as they

denature and coagulate protein.
Detergents based on amine compounds or glucoprotamine in combination with
glutaraldehyde for disinfection should not be used, as chemical reactions may
result in the formation of colored residues.
Enzymatic detergents should be discarded after each use, as these products are
not microbicidal and will not retard microbial growth.
In Europe, detergents commonly used may contain antimicrobial substances that
reduce the risk of infection to reprocessing personnel, but they do not replace
disinfection.
Enzymes generally function more effectively above room temperature (> 20–
22 °C) and should be used in accordance with the manufacturer’s
recommendations
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 ANIOSYME DD1

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BWaluyo/IX/06 12
 ANIOSYME DD1
Kegunaan :
 Kombinasi sinergis antara detergent, triple enzyme
dan desinfektan saat “precleaning” pada instrumen
bedah dan endoscopy.

 Mengandung 3 enzym :
Protease  Protein
Lypase  Lemak
Amylase  Karbohadirat

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Human ENDOZYME AW+ 1%
ANIOSYME DD1 at 0.5%
Albumin ORTHOZYME 1%

ENDOZYME 1% A. DLT at 0.5%

Check-
Competitor products ANIOS Products
sample

Proteasic
4/12/2016
activity of productsBWaluyo/IX/06
–Budianalysis
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by electrophoresis 14
Instrumen Sebelum direndam
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Budi Waluyo
 What is biofilm ?

Isolated cells and microcolonies of evolving cells, associated

each others and/or to surfaces and interfaces and included in a
matrice constituted of bacterial exopolymers, organic and non
organic materials and macromolecula catched out from
environment.
« Sel-sel terisolasi dan sel-sel microcolonies yang berkembang,
berhubungan satu sama lain dengan permukaan dan tercakup
di satu matrice yang berasal dari exopolymers bakteri, bahan
organik dan bukan organik serta macromolecula yang
tertangkap dari lingkungan »

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 BIOFILM

Ada 5 tahap pembentukan biofilm yaitu:

Pelekatan awal: mikrob melekat pada permukaan suatu benda dan dapat diperantarai
oleh fili (rambut halus sel) contohnya pada P.aeruginosa.[15]
Pelekatan permanen: mikrob melekat dengan bantuan eksopolisakarida (EPS).[16]
Maturasi I: proses pematangan biofilm tahap awal.[16]
Maturasi II: proses pematangan biofilm tahap akhir, mikrob siap untuk menyebar.[16]
Dispersi: Sebagian bakteri akan menyebar dan berkolonisasi di tempat lain

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 ANIOSYME DD1

Kemampuan Mikrobiologi :
 Bakterisidal NF EN 1040, NF EN 13727 & NFT 72-170 (dirty
cond.)

 Aktif terhadap Candida albicans NF EN 1275

 Aktif terhadap M. tuberculosis (T.B)
 Aktif terhadap HIV-I , BVDV (Hep. C), PRV
(Hep. B)
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 10
minute

25 ml  5 liter air

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